Managed Care Organization
UnitedHealthcare Community Plan
Credentialing and enrollment guides for UnitedHealthcare Community Plan across 51 states.
30-60 days
CAQH Required
Re-credential every 3 yrs
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
How UnitedHealthcare Community Plan Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Credentialing up to 45 calendar days from a complete application, after your state Medicaid enrollment is active
Recredentialing
3 year cycle, maintained through data attestation every 90 days
Same UnitedHealthcare onboarding, plus the Medicaid rule: federal regulation (42 CFR 438.602) requires an active state Medicaid ID before an MCO can enroll you
Behavioral health routing: In states that centralize Medicaid credentialing, the state system credentials you and the plan relies on it.
The stall to avoid: Enroll with the state Medicaid program first. Community Plan applications without an active state Medicaid ID stall or get denied, and the state step often takes longer than the plan step.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About UnitedHealthcare Community Plan
UnitedHealthcare Community Plan is a Medicaid managed care organization, a subsidiary of UnitedHealth Group, providing healthcare coverage to eligible low-income populations. They credential physicians, specialists, therapists, and other healthcare providers for their managed care networks.
How to Get Credentialed
1
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
2
Complete Your CAQH ProView Profile
UnitedHealthcare Community Plan requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
3
Submit Your Application
Submit your completed enrollment package to UnitedHealthcare Community Plan. Select your state below for state-specific submission details.
4
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with UnitedHealthcare Community Plan?
Our specialists handle the entire UnitedHealthcare Community Plan enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Contact Information
Provider Credentialing
1-877-842-3210
Mon-Fri 8am-5pm
Provider Services
1-877-842-3210
Claims & Billing
1-877-842-3210
Need Help?
Let PayerReady handle your UnitedHealthcare Community Plan credentialing and enrollment.
Get Started NowAvailable States
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District Of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
+ 36 more states below
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for UnitedHealthcare Community Plan-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Open
Alaska
Open
Arizona
Open
Arkansas
Open
California
Open
Colorado
Unknown
Connecticut
Open
Delaware
Open
District Of Columbia
Unknown
Florida
Open
Georgia
Open
Hawaii
Open
Idaho
Open
Illinois
Unknown
Indiana
Open
Iowa
Open
Kansas
Open
Kentucky
Open
Louisiana
Open
Maine
Open
Maryland
Open
Massachusetts
Unknown
Michigan
Open
Minnesota
Open
Mississippi
Open
Missouri
Open
Montana
Open
Nebraska
Open
Nevada
Open
New Hampshire
Open
New Jersey
Open
New Mexico
Unknown
New York
Open
North Carolina
Open
North Dakota
Open
Ohio
Open
Oklahoma
Open
Oregon
Open
Pennsylvania
Open
Puerto Rico
Rhode Island
Open
South Carolina
Open
South Dakota
Open
Tennessee
Open
Texas
Open
Utah
Open
Vermont
Open
Virginia
Open
Virgin Islands
Washington
Open
West Virginia
Open
Wisconsin
Open
Wyoming
Open
UnitedHealthcare Community Plan credentialing requirements by state
UnitedHealthcare Community Plan enrollment is not identical everywhere. The table below lists what actually differs across the 51 states UnitedHealthcare Community Plan operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Alaska | — | Open | — | — |
| Alabama | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Arkansas | — | Open | — | — |
| Arizona | UnitedHealthcare Community Plan | Open |
Provider portal
800-445-1638
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. |
| California | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Colorado | UnitedHealthcare Community Plan | Unknown | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Connecticut | — | Open | — | — |
| District Of Columbia | UnitedHealthcare Community Plan | Unknown | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Delaware | — | Open | — | — |
| Florida | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. In Florida, the Community Plan directs providers to the number on the member ID card and 24/7 portal chat. |
| Georgia | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Hawaii | UnitedHealthcare Community Plan | Open |
Provider portal
888-980-8728
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. In Hawaii, credentialing runs through MDX Hawaii. |
| Iowa | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Idaho | — | Open | — | — |
| Illinois | UnitedHealthcare Community Plan | Unknown | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Indiana | UnitedHealthcare Community Plan | Open |
Provider portal
877-610-9785
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. You must first enroll with Indiana Health Coverage Programs (IHCP). |
| Kansas | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Kentucky | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Louisiana | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Massachusetts | UnitedHealthcare Community Plan | Unknown | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Maryland | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Maine | — | Open | — | — |
| Michigan | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Minnesota | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Missouri | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Mississippi | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Montana | — | Open | — | — |
| North Carolina | UnitedHealthcare Community Plan | Open |
Provider portal
800-638-3302
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. In North Carolina, enrollment and credentialing run through state NCTracks; UHC does not separately credential. |
| North Dakota | — | Open | — | — |
| Nebraska | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| New Hampshire | — | Open | — | — |
| New Jersey | UnitedHealthcare Community Plan | Open |
Provider portal
888-362-3368
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. New Jersey MLTSS/HCBS credentialing is handled via a dedicated team. |
| New Mexico | UnitedHealthcare Community Plan | Unknown | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Nevada | — | Open | — | — |
| New York | UnitedHealthcare Community Plan | Open |
Provider portal
866-362-3368
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Enroll with New York State Medicaid to avoid claim denials. |
| Ohio | UnitedHealthcare Community Plan | Open |
Provider portal
800-600-9007
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Maintain current records in Ohio Medicaid's PNM module or claims will deny. |
| Oklahoma | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Oregon | — | Open | — | — |
| Pennsylvania | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Rhode Island | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| South Carolina | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| South Dakota | — | Open | — | — |
| Tennessee | UnitedHealthcare Community Plan | Open |
Provider portal
800-690-1606
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. |
| Texas | UnitedHealthcare Community Plan | Open |
Provider portal
888-887-9003
|
UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. In Texas, enroll through TMHP/PEMS (the authoritative source) before joining. |
| Utah | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Virginia | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Vermont | — | Open | — | — |
| Washington | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| Wisconsin | UnitedHealthcare Community Plan | Open | Provider portal | UnitedHealthcare Community Plan is UnitedHealthcare's Medicaid managed-care network. State Medicaid enrollment is a prerequisite — you must enroll with the state Medicaid agency first or claims will deny — and the state-specific join process lives in the Community Plan Care Provider Manual. Behavioral health is handled separately through Optum/Provider Express. Use the provider services number on the member ID card or your state's Community Plan page. |
| West Virginia | — | Open | — | — |
| Wyoming | — | Open | — | — |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified July 8, 2026. Network status changes without notice — confirm before you file.
Common questions about UnitedHealthcare Community Plan credentialing
How long does UnitedHealthcare Community Plan credentialing take?
UnitedHealthcare Community Plan credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does UnitedHealthcare Community Plan require CAQH?
Yes. UnitedHealthcare Community Plan pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with UnitedHealthcare Community Plan before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does UnitedHealthcare Community Plan operate in?
UnitedHealthcare Community Plan has credentialing operations in 51 states. 46 of those 51 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.